Organization
NORTH SUBURBAN PULMONARY & CRITICAL CARE CONSULTANTS, S.C.
Active
Organization
NORTH SUBURBAN PULMONARY & CRITICAL CARE CONSULTANTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVEN SHAH M.D. (PRESIDENT)
(847) 759-4770
Entity
Organization
Contact information
Practice address
9201 WAUKEGAN RD, MORTON GROVE, IL 60053-2102
(847) 759-4770
(847) 759-8824
Mailing address
9201 WAUKEGAN RD, MORTON GROVE, IL 60053
(847) 759-4770
(847) 759-8824
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
042617267
IL
207RP1001X
Pulmonary Disease Physician
042617267
IL
Other
Enumeration date
03/03/2006
Last updated
12/17/2021
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